Saturday 31 July 2021

PRO/AH/EDR> COVID-19 update (263): lambda and delta variants, CDC, South Asia, WHO

COVID-19 -- Worldwide/Unknown
Summary
------
"SARS-CoV-2 lambda, a new variant of interest, is now spreading in some South American countries; however, its virological features and evolutionary trait remain unknown. Here we reveal that the spike protein of the lambda variant is more infectious and it is attributed to the T76I and L452Q mutations. The RSYLTPGD246-253N mutation, a unique 7-amino-acid deletion mutation in the N-terminal domain of the lambda spike protein, is responsible for evasion from neutralizing

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PRO/AH/EDR> Gastroenteritis - India: (JK) poss waterborne, fatal

Gastroenteritis -- India
A 28 year old woman has died while over a hundred others have fallen ill in a mysterious diarrhea and vomiting outbreak that has hit many areas of sub-division Banihal in J&K's Ramban district with locals blaming the "untreated" tap water for the outbreak. Authorities in the Jal Shakti Department, however, claim that the water was "found fine and fit for drinking", even as more samples are being tested.
In-charge block medical officer Banihal, Dr Shabir Ahmad Dar, told Greater Kashmir that

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PRO/AH/EDR> E. coli EHEC - Canada: (NF)

E. coli -- Canada
The Department of Health says there has been a recent increase in unrelated cases of _Escherichia coli_ [infection] in Newfoundland and Labrador. A spokesperson from the department told CBC News on Wednesday [28 Jul 2021] [that] there have been 12 cases of Shiga toxin-producing E. coli (STEC) [also called enterohemorrhagic _E. coli (EHEC)] since the end of May 2021. The cases have been located in the Eastern, Central and Western Health regions of the province. In previous years, fewer than 5

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PRO/EDR> Hepatitis A - Canada: frozen mango, alert, recall

Hepatitis A -- Canada
Nature's Touch Frozen Food Inc. is recalling various frozen mangoes from the marketplace due to possible hepatitis A contamination. Consumers should not consume the recalled products. The products have been sold in Saskatchewan, Manitoba, Ontario, Quebec, New Brunswick, and Nova Scotia and may have been distributed in other provinces and territories [the complete product list can be found at the source URL - Mod.LL].
This recall was triggered by findings during an investigation into a

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Friday 30 July 2021

PRO/AH/EDR> Tick-borne encephalitis - Switzerland: (BE) horse

Tick-borne Encephalitis -- Switzerland
Abstract
--------
"Tick-borne encephalitis is an important viral tick-borne zoonosis in Europe and Asia. The disease is induced by tick-borne encephalitis virus (TBEV). This report describes a 16-year-old Warmblood gelding presenting with sudden onset of lethargy, ataxia, and muscle fasciculations on the nostrils, the lips, and the eyelids as the most important clinical findings. The horse further had a mild facial nerve paralysis with drooping of the right upper and lower lip. The diagnosis

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PRO/EDR> Hepatitis A - USA (06): (NC)

Hepatitis A -- United States
The North Carolina Department of Health and Human Services announced on [Tue 27 Jul 2021] the state has surpassed 1000 reported cases of hepatitis A associated with a national outbreak that began in April 2017. [A total of] 63% of cases have required hospitalization, and 16 people have died.
Since 2017, the Centers for Disease Control and Prevention has received more than 41 000 reports of hepatitis A linked to a national outbreak with higher than expected hospitalization and death rates,

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PRO/EDR> Hepatitis E - Sudan: (Gedaref, Kassala) refugee camps

Hepatitis E -- Sudan
Cases of hepatitis E are spreading across camps in Gedaref and Kassala states, Eastern Sudan, infecting hundreds of refugees from Tigray [Ethiopia] and posing a risk to local Sudanese communities.
In the past few weeks, Doctors Without Borders/Médecins Sans Frontières (MSF) medical teams in Gedaref's Umm Rakouba camp and Al Hashaba/Village 8 transit centre have received 278 patients, of which 16 were hospitalized, including 3 pregnant women. Many patients have acute jaundice syndrome, a

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PRO/AH/EDR> COVID-19 update (262): Pfizer effect., MIS-C, Israel breakthroughs/boosters, WHO

COVID-19 -- Worldwide/Unknown
At a media briefing today [29 Jul 2021], the head of the WHO's African region office said Africa is still in the middle of its 3rd wave, but cases have declined for 2 weeks in a row. Matshidiso Moeti, MBBS, said the slight slowdown is promising and a cause for cautious optimism. "But we are not out of the woods yet" [].
She said most of the drop this week was in South Africa, the region's hardest hit country. However, 22 countries in Africa reported steep rises of 20% or more over the past

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PRO/EDR> Poliomyelitis update (17): global(cVDPV1,cVDPV2 Uganda/Gambia) Pakistan, Nigeria

Polio -- Uganda
New wild poliovirus isolates reported this week:
AFP cases: 0
Environment: 0
Others: 0
New cVDPV isolates reported this week:
AFP cases: 19
Environment: 18
Others: 5
Summary of new WPV and cVDPV this week (AFP cases and ES positives):
Afghanistan: 1 cVDPV2 environmental sample
Gambia: 2 cVDPV2 positive environmental samples
Madagascar: 1 cVDPV1 positive environmental sample
Nigeria: 18 cVDPV2 cases and 12 cVDPV2 positive environmental samples
Senegal: 1 cVDPV2 case
Uganda: 2

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PRO/AH/EDR> Invasive tick - USA: (MO)

Pests -- United States
The Missouri Department of Agriculture, working in conjunction with the Missouri Department of Health and Senior Services and Missouri State University, has confirmed the 1st finding of an Asian longhorned tick (_Haemaphysalis longicornis_) in in Greene County, Missouri. Missouri becomes the 16th state with a presence of the tick species, following the 1st confirmed report of the Asian longhorned tick in the United States in 2017.
Asian longhorned ticks are light brown in color and are very

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PRO/AH/EDR> Lassa fever - West Africa (13): Liberia, WHO

Lassa Fever -- Liberia
- Upon confirmation of one case, incident management and emergency operations centres have been activated in all response counties.
- The National Lassa Fever Action Plan (multiple counties affected), and national level incident management is being activated.
- Inter-county surveillance meetings with neighbouring counties are planned by the county health teams.
- A total of 60 contacts are currently under follow-up (20 from Bong County and 40 from Nimba County. Of the 40 contacts from Nimba

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PRO/AH/EDR> Undiagnosed die-off, songbird - USA: (IN) widespread

Animal Die-off -- United States
Bird lovers and officials are distressed as hummingbirds, robins, blue warblers, and others that spread joy with their voices and form the background noise of nature with their songs are being victimized by an unknown disease.
For the last month and a half [June-July 2021], a die-off from a mystery ailment has been sweeping across Indiana and while baffling and concerning scientists, not so different than what the world saw during the early stages of the COVID-19 pandemic in humans in

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PRO/AH/EDR> Powassan virus encephalitis - USA (04): (ME)

Powassan virus -- United States
The Maine Center for Disease Control and Prevention (Maine CDC) has confirmed the state's 2nd case of Powassan virus infection in 2021. Laboratory tests confirmed the case in a Knox County resident who likely became infected in Maine during June [2021].
Maine CDC confirmed the 1st case of Powassan virus in 2021 in late June, in a Waldo County resident who is recovering after spending time in the hospital.
Cases of Powassan are rare in the United States, with about 25 cases reported each

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PRO/AH/EDR> Scrub typhus - India: (HP)

Scrub Typhus -- India
New cases of bacterial infection named "scrub typhus" are being reported in the middle of the COVID-19 pandemic. According to reports, 4 cases of scrub typhus have been found in Indira Gandhi Medical College and Hospital Shimla [Himachal Pradesh state] on [Tue 27 Jul 2021]. The medical superintendent of the hospital, Dr Janak Raj said that this infection spreads through the bites of infected chiggers.

Most patients of scrub typhus are found in mountainous areas. It is a bacterial

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PRO/AH/EDR> Hantavirus - Americas (08): Chile (AR)

Hantavirus -- Chile
A 44-year-old woman resident of Curacautin died after contracting a hantavirus according to confirmation by health authorities in Araucania.
Verification of the case is continuing with interviews with family members and neighbors of the victim, "who appeared to have acquired the infection in rural areas of the community," according to the regional health SEREMI [Regional Health Ministerial Secretariat], Gloria Rodriguez.
"This investigation is still underway so we will issue information

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PRO/AH/EDR> Crimean-Congo hem. fever - Europe (04): Georgia (SJ) fatal

Crimean-Congo Hemorrhagic Fever -- Worldwide/Unknown
In Tbilisi, a 49-year-old woman died of Crimean-Congo [hemorrhagic] fever. As reported in the infectious diseases hospital, 2 days ago [Wed 21 Jul 2021] she was taken in a grave condition from the Akhaltsikhe clinic [in Samtskhe-Javakheti].
According to the hospital, the patient received all the necessary treatment in the intensive care unit, but due to the severity of the disease, it was not possible to save her.
According to existing information, the woman went to the local clinic

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PRO/AH/EDR> Crimean-Congo hem. fever - Asia (07): Iraq, fatal

Crimean-Congo Hemorrhagic Fever -- Iraq
Today, Saturday (24 Jul 2021), the Veterinary Hospital in Diyala announced its rejection of the preventive ban on marketing livestock and sheep from Al-Khalis district, which was imposed after the 1st death from [Crimean-Congo] hemorrhagic fever, was recorded in the governorate.
The director of the veterinary hospital in Diyala, Riyad Al-Tai, said in an exclusive statement to (Baghdad Today) that "the preventive curfew imposed on Al-Khalis district and its villages, which lasted for 3

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Thursday 29 July 2021

PRO/AH/EDR> E. coli EHEC - USA (13): O121, cake mix

E. coli -- United States
An ongoing _E. coli_ outbreak affecting 16 people in 12 states has been linked to cake mix. The CDC, public health and regulatory officials in several states, and the FDA are investigating the multistate outbreak of _E. coli_ O121 infections from cake mix. All those sick are female and illness dates range from 26 Feb 2021 to 21 Jun 2021.
Sick people range in age from 2 to 73 years old, with a median of 13. 75 percent are children under the age of 18. Children are more likely to have a

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PRO/AH/EDR> Yellow fever - Africa (06): Senegal

Yellow Fever -- Senegal
Citation:
Diagne MM, Ndione MHD, Gaye A, et al. Yellow Fever Outbreak in Eastern Senegal, 2020-2021. Viruses. 2021; 13(8) 1475.
Abstract
Yellow fever virus remains a major threat in low resource countries in South America and Africa despite the existence of an effective vaccine. In Senegal and particularly in the eastern part of the country, periodic sylvatic circulation has been demonstrated with varying degrees of impact on populations in perpetual renewal. We report an outbreak that

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PRO/AH/EDR> African swine fever - America: Dominican Republic (MC, SZ) domestic, OIE

African Swine Fever -- Dominican Republic
General information
Report type: Immediate notification
Started: 30 Jun 2021
Confirmed: 28 Jul 2021
Reported: 29 Jul 2021
Reason for notification: Recurrence
Last occurrence: 29 Apr 1981
Manifestation of disease: Clinical disease
Causal agent: African swine fever virus
Nature of diagnosis: Necropsy, laboratory
This event pertains to a defined zone within the country.
Outbreak location 1: La Mina, Las Matas de Santa Cruz, [Monte Cristi]
Date of start of the outbreak: 1 Jul

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PRO/AH/EDR> COVID-19 update (261): Singapore, mental illness, vaccine mix & match, WHO

COVID-19 -- Singapore
"Background
To date, no immunological data on COVID-19 heterologous vaccination schedules in humans have been reported. We assessed the immunogenicity and reactogenicity of BNT162b2 (Comirnaty, BioNTech, Mainz, Germany) administered as second dose in participants primed with ChAdOx1-S (Vaxzevria, AstraZeneca, Oxford, UK).
"Methods
We did a phase 2, open-label, randomised, controlled trial on adults aged 18-60 years, vaccinated with a single dose of ChAdOx1-S 8-12 weeks before screening,

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PRO/AH/EDR> West Nile virus (05): Americas (WA) horse

West Nile Virus -- United States
The Washington State Veterinary Office has confirmed a horse at a private facility in Yakima County with West Nile virus (WNV).
WNV transmission occurs when infected mosquitoes feed on animals, as well as humans, after having fed on infected birds.
Clinical signs of WNV in horses include:
- mild anorexia and depression;
- fine and coarse muscle and skin fasciculation;
- hyperesthesia (hypersensitivity to touch and sound);
- changes in mentation (mentality), when horses look like

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PRO/AH/EDR> Equine herpesvirus - North America (11): USA (ID) horse

Equine Herpes Virus -- United States
Idaho State Department of Agriculture (ISDA) officials have confirmed an Owyhee County mare with equine herpesvirus-1 (EHV-1). 40 other horses were exposed.
On 20 Jul 2021 the affected mare was recumbent (unable to stand) and by 23 Jul 2021, she had recovered the ability to stand and walk. No other horses on her farm have shown clinical signs.
Herpesvirus is highly contagious among horses and can cause a variety of ailments in equids, including rhinopneumonitis (a respiratory disease

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PRO/AH/EDR> COVID-19 update (260): animal, USA, wild deer, exposure, RFI

COVID-19 -- United States
The US Department of Agriculture's Animal and Plant Health Inspection Service (APHIS) recently completed a study that analyzed serum samples from free-ranging white-tailed deer for antibodies to SARS-CoV-2 (the virus that causes COVID-19). Results of the study indicate that certain white-tailed deer populations in Illinois, Michigan, New York, and Pennsylvania were exposed to SARS-CoV-2.
Samples were obtained opportunistically as part of wildlife damage management activities conducted by

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PRO/AH/EDR> Equine piroplasmosis - Japan: (TK) 1st rep, OIE

Other Animal Disease -- Japan
Report type: immediate notification
Started: 24 Jul 2021
Confirmed: 24 Jul 2021
Reported: 26 Jul 2021
Reason for notification: 1st occurrence in the country
Causal agent: _Theileria equi_
Nature of diagnosis: clinical, laboratory
This event pertains to a defined zone within the country.
Outbreak location: Equestrian Park, Setagaya, Tokyo
Started: 24 Jul 2021
Ended: ongoing
Epidemiological unit: other
Affected animals:
Species / Susceptible / Cases / Deaths / Killed and disposed

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PRO/AH/EDR> Prion disease update (02): France, lab worker, susp, moratorium on research

CJD -- France
1. Brandel JP, Vlaicu MB, Culeux A, et al. Variant Creutzfeldt-Jakob disease diagnosed 7.5 years after occupational exposure. N Engl J Med. 2020; 383(1): 83-85. .
2. Haybaeck J, Heikenwalder M, Klevenz B, et al. Aerosols transmit prions to immunocompetent and immunodeficient mice. PLoS Pathog. 2011; 7(1): e1001257; . Erratum in: PLoS Pathog. 2016; 12(2): e1005463; .
While the latest case has not been definitively proven, there appears to be a link with research exposure in the case of the

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PRO/PL> Cyst nematode, soybean - Canada, USA: new strains, host resistance breakdown

Other Plant Disease -- Canada
Soybean cyst nematode [SCN] is spreading rapidly. It was found in 24 new counties and municipalities in Manitoba, Ontario, and Quebec from 2017-2020; in the US, SCN was found in 55 new counties across 11 states. It is expected that the pathogen will continue to spread. However, SCN has not been reported so far in West Virginia or Prince Edward Island.
"There are 2 different aspects to SCN spread in Ontario," said Albert Tenuta, Ontario Ministry of Agriculture, Food and Rural Affairs. "The

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PRO/AH/EDR> COVID-19 update (259): animal, South Africa (GT) lion, zoo, OIE

COVID-19 -- South Africa
Summary
Report type: Immediate notification
Start: 22 Jun 2021
Confirmed: 28 Jun 2021
Reported: 27 Jul 2021
Event status: ongoing
Reason for notification: emerging disease
Event morbidity (%): 100
Event mortality: -
Zoonotic potential: -
Diagnostic details: clinical, laboratory test
Causal agent: SARS-CoV-2
This event pertains to a defined zone within the country.
New outbreaks (1)
Outbreak location 1: City of Johannesburg, Gauteng
Started: 22 Jun 2021
Ended:

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Wednesday 28 July 2021

PRO/AH/EDR> Rift Valley fever - Eastern Africa (05): Kenya (KB) cattle, OIE

Rift Valley Fever -- Kenya
General information
Report type: Immediate notification
Started: 14 Jun 2021
Confirmed: [5 Jul 2021]
Reported: 28 Jul 2021
Reason for notification: Recurrence
Last occurrence: 17 Mar 2021
Causal agent: Rift Valley fever virus
Nature of diagnosis: Clinical, laboratory
This event pertains to a defined zone within the country.
Outbreak location: Kikuyu, Kiambu
Date of start of the outbreak: 14 Jun 2021
Epidemiological unit: Farm
Affected animals
Species / Susceptible / Cases /

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PRO/AH/EDR> Yellow fever - Africa (05): Congo DR

Yellow Fever -- DR Congo
On 18 Jul [2021], 2 yellow fever cases in individuals from the Democratic Republic of the Congo (DRC) tested positive by plaque reduction neutralization test (PRNT) at Centre Pasteur in Cameroon (CPC), according to a World Health Organization (WHO) report.
The 1st case is a 34-year-old man from the Abuzi health zone, North Ubangi province, Democratic Republic of the Congo, whose date of symptom onset was 20 Feb 2021 with fever, vomiting, abdominal pain, back pain, and physical asthenia.

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PRO/EDR> Cholera, diarrhea & dysentery update (26): Asia (India)

Cholera, Diarrhea -- India
Now that COVID-19 cases have started showing a downward trend, 3 cholera cases from 3 areas [have] put the Health Department on its toes. The positive cases include 2 infants. Teams of the Health Department are visiting the 3 areas, doing a house-to-house survey, creating awareness and distributing ORS packets. The health officials have confirmed the 3 cases Sunday [25 Jul 2021]. Cholera is an infectious disease that causes severe diarrhoea. It can lead to dehydration. It is caused by eating

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PRO/AH/EDR> Leishmaniasis, visceral - Nepal: alert

Leishmaniasis -- Nepal
1. Schenkel K, Rijal S, Koirala S, et al. Visceral leishmaniasis in southeastern Nepal: A cross-sectional survey on _Leishmania donovani_ infection and its risk factors. Trop Med Int Health. 2006; 11(12): 1792-9; ).
2. Alvar J, Velez ID, Bern C, et al. Leishmaniasis worldwide and global estimates of its incidence. PLoS One. 2012; 7(5): e35671; ; Supplementary file S65.
3. Cloots K, Uranw S, Ostyn B, et al. Impact of the visceral leishmaniasis elimination initiative on _Leishmania donovani_

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PRO/AH/EDR> COVID-19 update (258): CDC mask policy, IDSA, Japan, WHO, global

COVID-19 -- Worldwide/Unknown
WHO region (no. countries/territories):
Total confirmed cases (new cases in last 24 hours) / Total deaths (new deaths in last 24 hours)
--------------------------------------------------------------------------------
Western Pacific Region (19): 4 287 201 (39 582) / 62 583 (434)
European Region (61): 59 312 787 (104 490) / 1 213 879 (1096)
South East Asia Region (10): 37 755 175 (111 701) / 554 200 (3218)
Eastern Mediterranean Region (22): 12 255 849 (64 561) / 232 235 (769)
Region of

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PRO/EDR> Foodborne illness - Cyprus: (LA) military recruits

Foodborne Illness -- Cyprus
Defense ministry spokesman Christos Pieris on Monday [26 Jul 2021] confirmed that 30 new army recruits suffered food poisoning after a meal at the Larnaca camp where they had registered but called it an isolated incident. The incident took place on Saturday [24 Jul 2021] after the recruits were served a meal of pork with potatoes and sauce, provided by the catering company hired by the ministry.
Speaking to CyBC, Pieris said that even though around 30 soldiers had stomach trouble after the

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PRO/AH/EDR> COVID-19 update (257): animal, Canada (BC) farmed mink

COVID-19 -- Canada
Two mink have tested positive for the virus responsible for COVID-19 in humans on an Abbotsford farm that is still under quarantine after mink tested positive there in May 2021.
Five additional samples from mink have also tested positive, but final lab results are pending from The National Centre for Foreign Animal Disease in Winnipeg before a confirmation can be made.
The results were verified in coordination with a wildlife surveillance project led by the Ministry of Forests.
The

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PRO/AH/EDR> E. coli EHEC - Ireland (04): (LK) O26, daycare center

E. coli -- Ireland
Gilbert M, Monk C, Wang H-L, et al. Screening policies for daycare attendees: lessons learned from an outbreak of E. coli O157:H7 in a daycare in Waterloo, Ontario. Can J Public Health. 2008; 99: 281-5.
Abstract
--------
"Objectives: Control measures for enteric outbreaks in childcare settings frequently include screening by stool cultures from symptomatic children only. We present evidence from an investigation of _Escherichia coli_ (_E. coli_) O157:H7 in a daycare in Waterloo, Ontario

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PRO/AH/EDR> Anaplasmosis - USA: (PA) increased incidence

Anaplasmosis -- United States
A local doctor is warning of a growing number of cases involving a relatively new bacterial infection in the area that is caused by ticks.
It's called anaplasmosis and infectious disease specialist Dr John Love of the Butler Health System says it's a tricky diagnosis because it resembles illnesses like Lyme disease and COVID.
"Honestly, people who get anaplasmosis feel acutely ill. They feel like they have the flu, or they may feel like they have COVID, which makes things really

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PRO/AH/EDR> Potomac horse fever - USA: (TN) horse

Other Animal Disease -- United States
Tennessee's state veterinarian confirms 4 horses in Tennessee have tested positive for Potomac horse fever [PHF], the Department of Agriculture announced Monday [26 Jul 2021].
Cases in Hawkins, Robertson, and Sullivan counties are in addition to the Wilson County case announced earlier this month [July 2021] where a horse was diagnosed with PHF and had to be euthanized.
"Transmission of this disease can be prevented," State Veterinarian Dr Samantha Beaty said in a news release. "Potomac

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PRO/PL> Blast disease, rice - India: (NL)

Other Plant Disease -- India
The Department of Agriculture has informed that blast disease of rice has been reported in Mon district [Nagaland]. Immediately after receiving a report, local agricultural officers carried out an extensive survey and spot verification in infected fields. It was found that the fields were infected with rice blast. The crops were in late tillering to panicle initiation stages.
A total of almost 1000 ha [2471 acres] are infected, constituting about 60% of the total cropping area within the

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Tuesday 27 July 2021

PRO/AH/EDR> COVID-19 update (256): masks, Promed-ESP, mRNA vaccine 2nd dose, WHO

COVID-19 -- Worldwide/Unknown
Some states, cities, and national public health officials are posing the possibility of reinstating mask mandates as COVID-19 cases continue to surge across the United States. And businesses and organizations are struggling with the question of vaccine mandates as the delta (B1617.2) variant shows no sign of slowing down.
Yesterday [Sun 25 Jul 2021]on CNN, Anthony Fauci, MD, White House chief medical adviser, said the Centers for Disease Control and Prevention (CDC) discussed the use of

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PRO/AH/EDR> Bluetongue - Europe (05): Spain (PM) cattle, BT virus st 4, OIE

Bluetongue -- Spain
Summary
Report type: immediate notification
Started: 23 Jun 2021
Confirmed: 23 Jun 2021
Reported: 27 Jul 2021
Reason for notification: recurrence
Last occurrence: 31 Oct 2003
Causal agent: prion bluetongue virus
Serotype: 4
Nature of diagnosis: laboratory
This event pertains to a defined zone within the country.
New outbreaks
Summary of outbreaks
Total outbreaks (1)
Outbreak location 1: Pollenca (Mallorca), Baleares, Islas Baleares
Started: 23 Jun 2021
Epidemiological unit:

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PRO/EDR> Botulism - Ukraine (02): (CV) homemade sausage, fatal

Botulism -- Ukraine
Ukraine health officials reported this week a fatal case of botulism in Chernihiv region. The patient was a 74-year-old man who fell ill after eating homemade blood sausage, which was stored for about 2 months in the refrigerator. The victim sought medical help the day after consuming the suspicious product. He was hospitalized in the infectious department of the district hospital. However, a week later the patient left the hospital without permission. Four days later, the man was hospitalized

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PRO/AH/EDR> Yellow fever - Americas (11): Brazil (AP ex PA) human, fatal; (SC) monkey

Yellow Fever -- Brazil
The Government of Amapa confirmed Wednesday [21 Jul 2021] one death from yellow fever in the city of Macapa. The patient was a 21-year-old man who was hospitalized at the Oswaldo Cruz State Emergency Hospital for several days.
The patient was admitted to the hospital with symptoms of abdominal pain and fever for 10 days, jaundice, and a flaccid and painful abdomen. After the suspicion of yellow fever was notified on 19 Jul [2021], the Central Laboratory of Amapa (Lacen/AP) performed RT-PCR,

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PRO/AH/EDR> Tularemia - Ukraine: (VO)

Tularemia -- Ukraine
Health authorities in Volyn Oblast report a tularemia case in a woman from the village of Sadiv in Lutsk district. According to the results of the epidemiological investigation, it was established that the disease was probably caused by a bite of an insect (fly) on 20 Jun this year [2021].
The patient had symptoms typical of tularemia: during the day the body temperature rose, and chills appeared. On the 3rd day, there were complaints of redness and swelling of the skin at the site of the

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PRO/EDR> Hepatitis A - USA (05): (OH)

Hepatitis A -- United States
A large number of new cases of hepatitis A cases have spread into Pickaway, and Ross county according to the Ohio Department of Health Website. The Health Department relates this spread to an increase in cases linked to certain risk factors since the beginning of 2018. Outbreaks are not only in Ohio but neighboring states like Indiana, Kentucky, and Michigan.

Hepatitis A is a vaccine-preventable liver disease and is usually spread from ingests fecal matter, usually in microscopic amounts.

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PRO/EDR> Cholera, diarrhea & dysentery update (25): Africa (Nigeria)

Cholera, Diarrhea, Dysentery -- Nigeria
1. Guerrant RL, Carneiro-Filho BA and Dillingham RA. Cholera, diarrhea, and oral rehydration therapy: triumph and indictment. Clin Infect Dis. 2003; 37(3): 398-405.
2. Gregorio GV, Gonzales ML, Dans LF and Martinez EG. Polymer-based oral rehydration solution for treating acute watery diarrhoea. Cochrane Database Syst Rev. 2016; 12: CD006519.
3. Gore SM, Fontaine O and Pierce NF. Impact of rice-based oral rehydration solution on stool output and duration of diarrhea: meta-analysis of 13

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PRO/AH/EDR> Salmonellosis - USA (06): live poultry, multiple serotypes

Salmonella -- United States
Fast Facts
Illnesses: 672 (198 new)
Hospitalizations: 157 (54 new)
Deaths: 2 (1 new)
States: 47 (1 new)
Investigation status: Active
Epidemiologic and laboratory data show that contact with backyard poultry is making people sick. Since the last update on [24 Jun 2021], 1 additional serotype (_Salmonella_ Muenchen) and 198 more illnesses have been added to this outbreak investigation.
Epidemiologic Data
------------------
As of [23 Jul 2021], a total of 672 people infected with one

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PRO/AH/EDR> Snake fungal disease - USA: update

Other Animal Disease -- United States
An infectious fungal disease discovered among snakes has reportedly been rapidly spreading across eastern America and may prove catastrophic to native snake populations.
According to a report from the United States Geological Survey [USGS] released on Friday [16 Jul 2021; ], snake fungal disease [SFD], has been "confirmed in numerous species of snakes" recently. While the skin infection has thus far only been documented in snakes, it may significantly impact their declining populations in

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PRO/AH/EDR> African swine fever - Europe (17): Russia, domestic, wild boar, OIE

African Swine Fever -- Russia
Kostroma: event started 12 Jul 2021. A total of 2 outbreaks (submitted) reported to date [26 Jul 2021]. The event is continuing.
Total animals affected:
Species / Susceptible / Cases / Deaths / Killed and disposed of / Slaughtered
Swine / 11 / 3 / 1 / - / 0
--
Communicated by:
ProMED

******
[2] Smolensk: domestic
Date: Fri 23 Jul 2021
Source: OIE-WAHIS (World Animal Health Information System) 2021 [edited]

Smolensk: event started 12 Jul 2021. A total of 2 outbreaks

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Monday 26 July 2021

PRO/AH/EDR> COVID-19 update (255): Indonesia medic. fatal. & variants, nasal involv., WHO

COVID-19 -- Indonesia
The latest tragedy in Indonesia's fight against COVID-19 is the extraordinary rise of fatalities among Indonesian doctors.
The culprit has been identified as the more contagious coronavirus delta variant, which triggered a chain reaction in Indonesia's health system.
At least 545 doctors have died from the coronavirus since it was detected for the first time in the country in early March last year [2020].
This high rate of fatality sharply reduces hospital performance, not only in

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PRO/AH/EDR> African swine fever - Asia (19): Asia & Pacific situation update, FAO

African Swine Fever -- Worldwide/Unknown
[The following accumulated information on the ASF situation in the named region, updated as of 22 Jul 2021, has been selected from the above report; for the full report, a map and some omitted references, please refer to the source url].
Situation update
1. Mongolia: Since its first report on [15 Jan 2019], 11 outbreaks in 6 provinces and in Ulaanbaatar have been reported, involving 105 farms/households. More than 10% of the total pig population (3115 pigs) in Mongolia, have died/been

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PRO/AH/EDR> Q fever - Chile: (LL) dairy industry veterinarian, susp

Q Fever -- Chile
1. Lille RD, Perrin TL, Armstrong C: An institutional outbreak of pneumonitis. III. Histopathology in man and rhesus monkeys in the pneumonitis due to the virus of "Q" fever. Pub Hlth Rep 1941; 56(4): 149-55; .
2. Maurin M, Raoult D: Q fever. Clin Microbiol Rev 1999; 12(4): 518-53; .
3. Norlander L: Q fever epidemiology and pathogenesis. Microbes Infect 2000; 2(4): 417-24; .
A good recent review on Q fever can be found at
Melgar TA, Bauler TJ, Lutwick LI. Q fever in man: a One Health

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PRO/AH/EDR> COVID-19 update (254): USA, zoo, snow leopard

COVID-19 -- United States
An unvaccinated snow leopard at the San Diego Zoo has contracted COVID-19.
Caretakers noticed that Ramil, a 9-year-old male snow leopard, had a cough and runny nose on Thursday [22 Jul 2021]. Later, 2 separate tests of his stool confirmed the presence of the coronavirus, the zoo said in a statement Friday [23 Jul 2021].
Ramil is not showing additional symptoms, the zoo said, but because he shares an enclosure with a female snow leopard and 2 Amur leopards, the staff assumes they have

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PRO/EDR> C. auris (02): USA (TX,DC) pan-resist, facility transfers, infect control lapse

-- United States
Abstract
--------
_Candida auris_ is an emerging, often multidrug-resistant yeast that is highly transmissible, resulting in healthcare-associated outbreaks, especially in long-term care facilities. Skin colonization with _C. auris_ allows spread and leads to invasive infections, including bloodstream infections, in 5%-10% of colonized patients (1). 3 major classes of antifungal medications exist for treating invasive infections: azoles (such as fluconazole), polyenes (such as amphotericin

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PRO/AH/EDR> Rabies (29): Americas (USA) dog, fox, cat, bat, human exp

Rabies -- United States
One person and 2 dogs have been exposed to a rabid fox in Huntersville, prompting public officials to send out an alert to some of the town's residents, police say.
The alert was sent Thursday [15 Jul 2021] night to residents "on or near" Mt. Holly-Huntersville Road, in the 28078 ZIP code, after the fox tested positive for rabies, according to a news release from the Huntersville Police Department.
The release said there was "one human exposure and 2 domesticated dog exposures," but it

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PRO/AH/EDR> Yersiniosis - USA: (PA) pasteurized milk, 2019

Not Yet Classified -- United States
1. Black RE, Jackson RJ, Tsai T, et al: Epidemic _Yersinia enterocolitica_ infection due to contaminated chocolate milk. N Engl J Med 1978;298: 76-79; .
2. Hennessy TW, Hedberg CW, Slutsker L, et al: A national outbreak of _Salmonella_ Enteritidis infections from ice cream. N Engl J Med 1996; 334(20): 1281-1286; .
3. Ryan CA, Nickels MK, Hargrett-Bean NT, et al: Massive outbreak of antimicrobial-resistant salmonellosis traced to pasteurized milk. JAMA 1987; 258(22): 3269-74; .
4. Tacket CO,

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Sunday 25 July 2021

PRO/AH/EDR> COVID-19 update (253): child vaccines, immunocompromised, Europe restrict., WHO

COVID-19 -- Worldwide/Unknown
The European Union's medicines regulator has recommended authorising Moderna's COVID-19 vaccine for use in children aged between 12 and 17, marking the 1st time the shot has been approved for people under 18.
In a decision on Friday [23 Jul 2021] the European Medicines Agency (EMA) said research in more than 3700 children of 12-17 years of age showed that the shot produced a comparable antibody response to that seen in 18-25-year-olds.
Use of the vaccine, Spikevax, will be the same in

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PRO/AH/EDR> Foot & mouth disease - Zimbabwe: (MI) cattle, serotype not typed, OIE

Foot and Mouth -- Zimbabwe
General information
Report type: Immediate notification
Started: 15 Jul 2021
Confirmed: 21 Jul 2021
Reported: 22 Jul 2021
Reason for notification: Recurrence
Last occurrence: 30 Dec 2019
Causal agent: Foot-and-mouth disease virus
Subtype: Not typed
Nature of diagnosis: Clinical, laboratory
This event pertains to a defined zone within the country.
Outbreak location 1: Grassland farm, Gweru, Midlands
Date of start of the outbreak: 15 Jul 2021
Epidemiological unit: Farm
Affected

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PRO/AH/EDR> Foot & mouth disease - Libya: (BG, MA) cattle, serotype O, OIE

Foot and Mouth -- Libya
General information
Report type: Immediate notification
Started: 17 Jun 2021
Confirmed: 21 Jul 2021
Reported: 23 Jul 2021
Reason for notification: Recurrence
Last occurrence: 11 Jun 2019
Causal agent: Foot-and-mouth disease virus
Subtype: O
Nature of diagnosis: Clinical, laboratory
This event pertains to a defined zone within the country.
Outbreak location 1: Farzogha, Benghazi
Date of start of the outbreak: 17 Jun 2021
Epidemiological unit: Farm
Affected animals
Species /

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Saturday 24 July 2021

PRO/AH/EDR> Bovine tuberculosis - Israel (03): (HZ) deer, spread

Bovine TB -- Israel
Bovine tuberculosis in school and petting zoos
Spotted deer [_Axis axis_] from Hamat Gader have been found tuberculosis positive in 5 rural school zoos throughout northern Israel. This is in addition to the first outbreak detected in Kiryat Motzkin [see comment]. In some of the affected locations, dairy cattle operations are maintained. About 75% of the deer originating in Hamat Gader have been found infected.
--
Communicated by:
ProMED

[The previous weekly report of Hachaklait (No

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PRO/AH/EDR> COVID-19 update (252): lambda variant, South Asia, Viet Nam, malnutrition, WHO

COVID-19 -- Worldwide/Unknown
"...There have been increases in the incidence of malnutrition among older adults with severe COVID-19 (12-14). This suggests that COVID-19 or its complications may be triggering malnutrition or related physiological processes. This is of crucial importance because malnutrition dampens the immune system, increases mortality, hospital length of stays, and the risk of unplanned hospital readmission (15-17). Furthermore, acute and chronic malnutrition predispose patients to significantly

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PRO/EDR> Norovirus - UK: (England) summer cases

Norovirus -- United Kingdom
Abstract
--------
"Norovirus is the leading cause of acute gastroenteritis outbreaks in the United States. We estimated the basic (R0) and effective (Re) reproduction numbers for 7094 norovirus outbreaks reported to the National Outbreak Reporting System (NORS) during 2009-2017 and used regression models to assess whether transmission varied by outbreak setting. The median R0 was 2.75 (interquartile range [IQR] 2.38-3.65), and median Re was 1.29 (IQR 1.12-1.74). Long-term care and assisted

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PRO/AH/EDR> Avian influenza, human (14): China (SC) H5N6

Avian Influenza H5N6 -- China
The Center for Health Protection of the Department of Health today [23 Jul 2021] is closely monitoring 3 new cases of human infection with avian influenza (H5N6) in the Mainland, and once again urged the public to keep [good personal, food,] and environmental hygiene.
The 1st case involved a 51-year-old woman living in Xuanhan, Sichuan Province, who had been in contact with live poultry before becoming ill. She developed symptoms on 25 Jun 2021 and was admitted to the hospital for treatment

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PRO/EDR> Cholera, diarrhea & dysentery update (24): Africa (Nigeria)

Cholera -- Nigeria
"For a variety of logistic, financial, and historical reasons, vaccines have not been available for cholera control programs outside of Viet Nam. Given as 2- or 3-dose courses, efficacy can be as high as 60-80% for at least 2-3 years but much shorter protection lengths in children younger than 5 years of age. Cost-effectiveness, especially once an outbreak has occurred, had remained unproven until reports from Guinea (57) and Haiti (58) demonstrated utility.
"The current vaccines

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Friday 23 July 2021

PRO/AH/EDR> Avian influenza (97): Ghana (GAR, CP) poultry, HPAI H5, OIE

Avian Influenza -- Ghana
General information
Report type: immediate notification
Date of start of the event: [26 Jun 2021] [The date of the start of the 6 outbreaks was reported on 26 Jun 2021. - Mod.CRD]
Date of confirmation of the event: 7 Jul 2021
Reported on: 21 Jul 2021
Reason for notification: recurrence
Last occurrence: 29 Jul 2018
Manifestation of disease: clinical disease
Causal agent: highly pathogenic avian influenza virus
Serotype: H5
Nature of diagnosis: clinical, laboratory
This event pertains

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PRO/AH/EDR> COVID-19 update (251): USA delta variant, Israel vaccines, Olympics, WHO, global

COVID-19 -- Worldwide/Unknown
1. Borchering RK, Viboud C, Howerton E, et al. Modeling of future COVID-19 cases, hospitalizations, and deaths, by vaccination rates and nonpharmaceutical intervention scenarios -- United States, April-September 2021. MMWR Morb Mortal Wkly Rep. 2021; 70: 719-24.
- Mod.LXL]
******
[2] Israel: Pfizer vaccine efficacy decline
Date: Wed 21 Jul 2021 22:58 IDT
Source: The Times of Israel [edited]

Vaccine effectiveness in preventing serious COVID-19 infection among the elderly has

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PRO/AH/EDR> Salmonellosis, st Braenderup - Europe (05): imported melon, North American cases

Salmonella -- United States
Almost 350 confirmed and 50 more possible _Salmonella_ infections have been recorded across Europe and in the United Kingdom linked to melons. Some patients live in the United States. Between mid-March and early July 2021, 348 people fell ill due to _Salmonella [enterica_ serotype] Braenderup and 68 needed hospital treatment but none have died. In addition, 4 people were sick in the USA and 2 in Canada.
In late June 2021, the US Centers for Disease Control and Prevention (CDC) looked into 3

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PRO/AH/EDR> Lumpy skin disease - Asia (13): Thailand (UT) wild cattle

Lumpy Skin Disease -- Thailand
At least 9 banteng, or Bali cattle, in Huai Kha Khaeng wildlife sanctuary in Thailand's Uthai Thani province are thought to be infected with lumpy skin disease (LSD), and a team of veterinarians has been sent to investigate, according to Mr. Sompong Thongseekhem, director of the Office of Wildlife Conservation, Department of National Parks, Wildlife and Plants Conservation.
Mr. Sompong said that camera traps, installed in the Huay Tap Salao-Huay Rabum no-hunting zone, about 10 kilometres

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PRO/AH/EDR> Foot & mouth disease - Mongolia (02): cattle, st O, OIE

Foot and Mouth -- Mongolia
General information
Report type: Immediate notification
Started: 30 Jun 2021
Confirmed: 2 Jul 2021
Reported: 20 Jul 2021
Reason for notification: Recurrence
Last occurrence: 29 Jun 2018
Causal agent: Foot-and-mouth disease virus
Serotype: O
Nature of diagnosis: Clinical, laboratory
This event pertains to the whole country.
Outbreak location 1: Bulgan sum, Bulgan, Hovd
Date of start of the outbreak: 30 Jun 2021
Epidemiological unit: Farm
Affected animals
Species / Susceptible /

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PRO/AH/EDR> Monkeypox - USA (02): (TX) ex Nigeria

Monkeypox -- United States
More than 200 people in 27 US states are being tracked for possible rare monkeypox infections, health officials say.
They fear people may have come in contact with a Texas man who brought the disease in from Nigeria earlier this month [July 2021].
The man -- believed to be the 1st monkeypox case in the US since 2003 -- was taken to hospital but is in stable condition.
So far, no new cases have been found.
What is monkeypox?
The Centers for Disease Control and Prevention (CDC) says

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PRO/AH/EDR> Rabies (28): Americas (USA) imported dog, comment

Rabies -- United States
US authorities might consider a policy similar to the European Pet Travel Scheme (PETS), which has proven extremely efficient in Europe (apart from illegal importation via alternative routes):
Vaccinate, test rabies virus neutralizing antibody titer after 30 days, wait for another 3 months before importation (incubation after exposure/infection before the anti-rabies vaccination, which will NOT act as post-exposure prophylaxis!).
Given the correct implementation of this procedure, not a

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Thursday 22 July 2021

PRO/AH/EDR> Anthrax - Kazakhstan (02): (QS) cattle, horse, OIE

Anthrax -- Kazakhstan
Summary:
Report type: immediate notification
Started: 22 Jun 2021
Confirmed: 26 Jun 2021
Ended: ongoing
Reported: 19 Jul 2021
Reason for notification: 1st occurrence in a zone or compartment
Causal agent: _Bacillus anthracis_
Nature of diagnosis: laboratory
This event pertains to a defined zone within the country.
New outbreaks:
Summary of outbreaks
Total outbreaks (1)
Outbreak location 1: Altai farm, Denisovskiy, Qostanay
Started: 22 Jun 2021
Ended: 29 Jun

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PRO/AH/EDR> Avian influenza, human (13): India (HR), H5N8, susp., fatal, RFI

Avian Influenza H5N8 -- India
India on Tue 20 Jul 2021 reported its first bird flu death as an 11-year-old boy, who was undergoing treatment at AIIMS for it and succumbed to the disease.
A senior All India Institute of Medical Sciences (AIIMS) official said that the boy, who was infected with avian influenza, has died, and the entire staff concerned has been placed in isolation as a preventive measure.
As per reports, bird flu outbreaks were reported across the country earlier this year [2021], including in Haryana

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PRO/EDR> Vibriosis - Sweden

Vibrio parahaemolyticus, Vibrio vulnificus -- Sweden
The Swedish Public Health Agency, or Folkhalsomyndigheten, reported today, 22 Jul 2021, 13 cases of the more serious form of _Vibrio_ infection, all in July 2021. The cases have been reported from the coastal areas in Götaland and Svealand and, as in previous years, mostly men have fallen ill and the majority of cases are older than 65 years.
_Vibrio_ bacteria can cause milder forms of illness such as ear infection or diarrhea if you happen to swallow water. The bacteria can not penetrate

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PRO/EDR> Poliomyelitis update (16): global (cVDPV1, cVDPV2), Nigeria

Polio -- Nigeria
New wild poliovirus isolates reported this week:
AFP cases: 0
Environment: 0
Others: 0

New cVDPV isolates reported this week:
AFP cases: 24
Environment: 6
Others: 18
Summary of new WPV and cVDPV this week (AFP cases and ES positives):
- Ethiopia: 10 cVDPV2 cases and 1 cVDPV2 positive environmental sample
- Liberia: 1 cVDPV2 case
- Madagascar : 2 cVDPV1 cases
- Nigeria: 9 cVDPV2 case and 5 cVDPV2 positive environmental samples
- Senegal: 1 cVDPV2 case
- South Sudan: 1 cVDPV2

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PRO/AH/EDR> COVID-19 update (250): caregiver loss, school buses, mRNA vaccines, WHO

COVID-19 -- Worldwide/Unknown
Abstract
--------
BACKGROUND
The B.1.617.2 (delta) variant of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (Covid-19), has contributed to a surge in cases in India and has now been detected across the globe, including a notable increase in cases in the United Kingdom. The effectiveness of the BNT162b2 and ChAdOx1 nCoV-19 vaccines against this variant has been unclear.
METHODS
We used a test-negative case-control design to

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PRO/ALL> New in the IJID (06): June 2021

Not Yet Classified -- Worldwide/Unknown
COVID-19 chemoprevention
Cintia Cruz, Nicholas J. White
IJID 2021;107:31-33

World Meningitis Day and the World Health Organization's roadmap to defeat bacterial meningitis in the COVID-19 pandemic era
Tatiana Castro Abreu Pinto, Natalia Silva Costa, Laura Maria Andrade Oliveira.
IJID 2021;107:219-20


Coronavirus (COVID-19) collection
---------------------------------
Clinical
--------
A follow-up study of respiratory and physical function after discharge in patients with

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Wednesday 21 July 2021

PRO/AH/EDR> African swine fever - Europe (16): Germany (BB) domestic pig, spread, control

African Swine Fever -- Germany
In a reaction on the latest developments in domestic pigs in Brandenburg state, the German Farmers' Union (DBV) demanded a more consistent approach of the ASF virus. In a press release, chairman Hubertus Beringmeier stated that more effective measures are needed in the battle to overcome ASF. Beringmeier called for more speed, more unity, and a more consistent policy when facing ASF. The recent outbreaks on 3 domestic pig locations in Germany have shown that the strategy to fight the virus is

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PRO/AH/EDR> COVID-19 update (249): T cell response, GAO, UK, vaccination USA & France, WHO

COVID-19 -- Worldwide/Unknown
Abstract
--------
SARS-CoV-2 mRNA vaccines, including Pfizer/BioNTech BNT162b2, were shown to be effective for COVID-19 prevention, eliciting both robust antibody responses in naive individuals and boosting pre-existing antibody levels in SARS-CoV-2-recovered individuals. However, the magnitude, repertoire, and phenotype of epitope-specific T cell responses to this vaccine, and the effect of vaccination on pre-existing T cell memory in SARS-CoV-2 convalescent patients, are still poorly

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PRO/EDR> Vibrio parahaemolyticus - USA: (WA) oyster, alert, recall

Vibrio parahaemolyticus -- United States
Washington state has initiated a recall of live oysters harvested from the Samish Bay growing area in the Puget Sound area. The recall is in response to multiple cases of _Vibrio parahaemolyticus_ illnesses associated with oysters harvested in the area. The outbreak has already surpassed the highest number of cases ever recorded by the state for the month of July, according to the state's Health Department. Distribution details are incomplete but it is known that some of the oysters have gone

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PRO/PL> Septoria blotch, wheat - Ireland: new strains, host resistance breakdown

Other Plant Disease -- Ireland
Teagasc [Agriculture and Food Development Authority] has confirmed that Irish strains of septoria are able to overcome a source of genetic resistance present in a range of wheat varieties. Septoria blotch is the primary disease of the Irish wheat crop. In 2020, unexpected levels of the disease were observed on varieties in a number of locations, each with the variety Cougar in their background, which has levels of septoria resistance.
Initial results confirmed the strains of septoria

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PRO/PL> Pepino mosaic virus, tomato - Russia: ex Uzbekistan (IK) intercept

Other Plant Disease -- Russia
A 20-ton consignment of Uzbek fresh tomatoes arrived in the Irkutsk region [Russia]. Rosselkhoznadzor [Federal Service for Veterinary and Phytosanitary Surveillance] sent samples for examination. Virological results revealed _Pepino mosaic virus_ by PCR method. The test confirms the presence of a dangerous virus in the product. The virus was detected for the 1st time in Irkutsk region.
Currently, there is no means of combating the disease. Preventive measures should be observed (use clean

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Tuesday 20 July 2021

PRO/EDR> Vibrio vulnificus - USA (02): (TX)

Vibrio vulnificus -- United States
The summer heat drives people to place like Bolivar Peninsula in Texas to enjoy the Gulf of Mexico. But the warm water is also home to potentially dangerous bacteria. An Oklahoma man said he contracted a bacterium after a family trip to Crystal Beach and nearly lost his leg.
"They had to take lots of skin. They had to do a lot of stuff to me to save my leg, and save me, actually," he said.
He said his trip last month [June 2021] was picture perfect until the day he was heading home to

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PRO/AH/EDR> COVID-19 update (248): immunity and variants, vaccines, azithromycin, WHO

COVID-19 -- Worldwide/Unknown
Abstract
--------
The emergence of SARS-CoV-2 variants with mutations in major neutralizing antibody-binding sites can affect humoral immunity induced by infection or vaccination (1-6). We analysed the development of anti-SARS-CoV-2 antibody and T cell responses in previously infected (recovered) or uninfected (naive) individuals that received mRNA vaccines to SARS-CoV-2. While previously infected individuals sustained higher antibody titers than uninfected individuals post-vaccination, the

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PRO/EDR> Malaria - Yemen: (TA)

Malaria -- Yemen
Thousands of citizens have been infected with malaria since the beginning of this year [2021] in areas controlled by the ousted Hadi government in Taiz province, southwest Yemen.
Health facilities in the province have recorded 4000 confirmed and suspected cases of malaria, a media source said, quoting an official in the malaria control program in the province.
The official noted that the areas where malaria had spread significantly were on the west coast, west, and western

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PRO/AH/EDR> Herpes B virus - China: (Beijing) 1st rep, fatal

Herpes -- China
A man in China has died after contracting a rare infectious disease from primates, known as the monkey B virus, Chinese health officials revealed in a report Saturday [17 JUL 2021]. The victim, a 53-year-old veterinarian based in Beijing, was the 1st documented human case of the virus in China.
According to the Chinese Center for Disease Control and Prevention, the man worked in a research institute that specialized in nonhuman primate breeding and dissected 2 dead monkeys in March [2021].

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PRO/AH/EDR> Rabies (27): Americas (USA) ex Azerbaijan, dog, human exp, OIE

Rabies -- United States
Report type: immediate notification
Started on: 10 Jun 2021
Confirmed on: 18 Jun 2021
Reported on: 15 Jul 2021
Reason for notification: recurrence of a listed disease
Last occurrence: 30 Dec 2019
Causal agent: rabies virus
Serotype: RABV
Nature of diagnosis: clinical, laboratory
This event pertains to a defined zone within the country.
New outbreaks (1)
Summary of outbreaks:
Total outbreaks: 1
Outbreak location: Chester County, Pennsylvania
Started on: 10 Jun 2021
Ended on: 13

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PRO/AH/EDR> COVID-19 update (247): animal, Spain (GA) mink, OIE

COVID-19 -- Spain
Summary
Report type: immediate notification
Start on: 12 Jul 2021
Confirmed on: 12 Jul 2021
Reported on: 19 Jul 2021
Event status: ongoing
Reason for notification: emerging disease
Event morbidity (%): 0.01
Event mortality: -
Zoonotic potential: yes
Diagnostic details: laboratory test
Causal agent: SARS-CoV-2
This event pertains to a defined zone within the country.
New outbreaks (1)
Outbreak location 1: Sobrado, A Coruña, Galicia
Started on: 12 Jul 2021
Ended on:

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PRO/EDR> Vibriosis - USA: (WA) climate warning

Vibrio parahaemolyticus -- United States
According to the Washington State Department of Health (DOH), a recent outbreak of vibriosis, an illness associated with eating raw or undercooked shellfish, is likely linked to the heat dome that enveloped the Pacific Northwest in late June 2021. The department says the extreme heat combined with low tides to produce conditions where more _Vibrio_ bacteria can thrive, and the number of lab-reported vibriosis cases for the month of July, 52, is the highest ever recorded for the month. For

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Monday 19 July 2021

PRO/AH/EDR> COVID-19 update (246): Indonesia, France, Germany, Israel, Olympics, WHO

COVID-19 -- Worldwide/Unknown
By the thousands, they sleep in hallways, tents, and cars, gasping for air as they wait for beds in overcrowded hospitals that may not have oxygen to give them. Others see hospitals as hopeless, even dangerous, and take their chances at home.
Wherever they lie, as COVID-19 steals their breath away, their families engage in a frantic, daily hunt for scarce supplies of life-giving oxygen.
Indonesia has become the new epicenter of the pandemic, surpassing India and Brazil to become the

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PRO/EDR> Cholera, diarrhea & dysentery update (23): Africa (Nigeria), Asia (India)

Cholera -- Nigeria
57. Luquero FJ, Grout L, Ciglenecki I, et al. Use of _Vibrio cholerae_ vaccine in an outbreak in Guinea. N Engl J Med. 2014; 370(22): 2111-20; .
58. Severe K, Rouzier V, Anglade SB, et al. Effectiveness of oral cholera vaccine in Haiti: 37-month follow-up. Am J Trop Med Hyg. 2016; 94(5): 1136-42; .
59. Bhattacharya SK, Sur D, Ali M, et al. 5-year efficacy of a bivalent killed whole-cell oral cholera vaccine in Kolkata, India: a cluster-randomised, double-blind, placebo-controlled trial.

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PRO/EDR> Typhoid fever - Congo DR (02)

Typhoid -- DR Congo
According to the WHO, 716 494 suspected cases of typhoid fever, including 198 deaths, were recorded in selected health zones of the Democratic Republic of Congo. Of the 204 tests performed (191 blood cultures and 13 fecal cultures), one test was positive.
In 2020, a total of 715 920 suspected cases of typhoid fever were reported, including 178 deaths.
Typhoid fever, caused by the bacterium _Salmonella [enterica_ serotype] Typhi, is a life-threatening bacterial infection. Typhoid fever is

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PRO/AH/EDR> Salmonellosis, st Typhimurium, monophasic - France: imported Spanish sausage

Salmonella -- France
Abstract
--------
"_Salmonella enterica_ remains an important foodborne pathogen in all regions of the world, with Typhimurium as one of the most frequent serotypes causing foodborne disease. However, the past 2 decades have seen a rapid worldwide emergence of a new _Salmonella_ serotype, namely monophasic variant of _S._ Typhimurium, whose antigenic formula is 1,4,[5],12:i:-. It has become one of the 2-5 most common _Salmonella_ serotypes responsible for animal and human infections in

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PRO/AH/EDR> White nose syndrome, bats - North America (04): evidence tolerance & resistance

White nose syndrome -- Worldwide/Unknown
North America's bats are facing their own devastating pandemic. White-nose syndrome, a disease caused by a cold-loving fungus, has killed more than 6 million bats since it was 1st detected in an upstate New York cave in 2006. It threatens some species, such as the northern long-eared bat, with extinction.
The fungus, aptly named _Pseudogymnoascus destructans_, has since spread across the U.S. and Canada -- carried both by the routine movements of bats and by hitchhiking on cave-curious

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PRO/EDR> Chemical exposure - USA: (TX) water park

Poisoning -- United States
Around 65 people were sickened Saturday afternoon [17 Jul 2021] at a Houston-area water park in what local officials called a chemical incident.
"In the area around the kiddie pool in this water park, a lifeguard was sick, and soon after that, more and more people began becoming sick," Harris County Judge Lina Hildalgo said in a news conference outside Six Flags Hurricane Harbor Splashtown in Spring, Texas. "What began as a fun family day has turned into very much a nightmare for many

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PRO/AH/EDR> Canine enteric coronavirus - New Zealand: (CA) dog race

Coronavirus -- New Zealand
85. Accessed 10 Apr 2020"
(Extracted from ).
"Are there diseases that can be confused with canine coronavirus?
There are many causes of diarrhea in dogs. Severe cases of coronavirus can be easily confused with parvovirus, and they may occur at the same time. Be sure to see your veterinarian if your dog has diarrhea that does not resolve within twenty- four hours or is associated with significant lethargy or loss of appetite.
Is there any treatment?
There is no specific treatment

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PRO/AH/EDR> Varroosis - Finland: (AX) honey bee, OIE

Other Animal Disease -- Worldwide/Unknown
Summary
Report type: immediate notification
Started: 13 Jul 2021
Confirmed: 14 Jul 2021
Reported: 14 Jul 2021
Reason for notification: 1st occurrence in a zone or a compartment
Causal agent: _Varroa_ spp.
Nature of diagnosis: laboratory
This event pertains to a defined zone within the country.
New outbreaks
Summary of outbreaks
Total outbreaks (1)
Outbreak location 1: Brando, Aland
Started: 13 Jul 2021
Epidemiological unit: apiary
Total animals affected:
Species / Susceptible

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PRO/EDR> Tetanus - Dominican Republic: fatal

Tetanus -- Dominican Republic
Health officials in the Dominican Republic have reported 19 tetanus cases so far this year [2021], which has resulted in 6 fatalities, according to epidemiological surveillance.
The Dominican Today reports the cases and deaths are in residents of the provinces of Santo Domingo, Santiago, and Independencia [].
Tetanus is caused by a very potent toxin produced by the anaerobic bacterium, _Clostridium tetani_. The spores of this organism are very resistant to environmental factors and are

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PRO/EDR> Legionellosis - Europe: Germany (BW) fatal

Legionnaires' -- Germany
In Heilbronn District, in northern Baden-Württemberg, Germany, it is reported that 5 men and women have contracted legionnaires' disease and 2 have died. The patients came from Obersulm, Ellhofen, Weinsberg, and Löwenstein, health officials announced. Most of them are middle-aged and older men. The 2 deceased men had a previous illness and were 49 and 81 years old.
Health authorities are feverishly looking for the source of the contamination.
Experts from the Heilbronn health

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Sunday 18 July 2021

PRO/AH/EDR> Hendra virus - Australia: horse, new viral strain

Nipah/Hendra Virus -- Australia
Abstract
--------
A novel Hendra virus (HeV) variant was identified through multidisciplinary and interagency syndromic surveillance of a horse having suffered acute fatal disease consistent with HeV infection. Novel molecular assays for HeV detection are described in the light of routine testing failure. In silico analysis of the variant receptor-binding protein in comparison with prototypic HeV supported that the monoclonal antibody m102.4 used for post-exposure prophylaxis, as well as the

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PRO/AH/EDR> COVID-19 update (245): UK, Israel, mask trial retraction, Eurosurveillance, WHO

COVID-19 -- Worldwide/Unknown
The Research Letter, "Experimental Assessment of Carbon Dioxide Content in Inhaled Air with or without Face Masks in Healthy Children: A Randomized Clinical Trial," by Harald Walach, PhD, and colleagues published online in JAMA Pediatrics on 30 Jun 2021 is hereby retracted. Following publication, numerous scientific issues were raised regarding the study methodology, including concerns about the applicability of the device used for assessment of carbon dioxide levels in this study setting, and

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PRO/AH/EDR> Leptospirosis - Guyana: (EB) flooding

Leptospirosis -- Guyana
Following major flooding in the country, Region 6 is reporting 67 cases of dengue and 5 cases of leptospirosis.
Regional Chairman, David Armogan, during a press briefing in Region 6 yesterday, relayed that that while there are 67 cases of the mosquito-borne dengue presently there has not been any major escalation since.
"A number of areas are pretty dry, Black Bush Polder they don't have much difficulties with flooding and so, and a lot of those cases came out from Black Bush too", he

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Saturday 17 July 2021

PRO/AH/EDR> COVID-19 update (244): lambda var S America, long COVID & children, Europe, WHO

COVID-19 -- Worldwide/Unknown
1. Tada T, Zhou H, Dcosta BM, et al. SARS-CoV-2 lambda variant remains susceptible to neutralization by mRNA vaccine-elicited antibodies and convalescent serum. bioRxiv. 2021.
2. Acevedo ML, Alonso-Palomares L, Bustamante A, et al. Infectivity and immune escape of the new SARS-CoV-2 variant of interest lambda. medRxiv. 2021.
[Byline: Sanjay Mishra]
--
Communicated by:
ProMED

******
[2] Long COVID in children
Date: Wed 14 Jul 2021
Source: Nature [edited]

As COVID-19

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PRO/AH/EDR> West Nile virus (04): Americas (Brazil)

West Nile Virus -- Brazil
Costa ÉA, Giovanetti M, Silva Catenacci L, Fonseca V, Aburjaile FF, Chalhoub FLL, Xavier J, et al. West Nile Virus in Brazil.
Abstract
Background: West Nile virus (WNV) was 1st sequenced in Brazil in 2019, when it was isolated from a horse in the Espírito Santo state. Despite multiple studies reporting serological evidence suggestive of past circulation since 2004, WNV remains a low priority for surveillance and public health, such that much is still unknown about its genomic diversity,

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PRO/AH/EDR> Rabies (26): Americas (USA) fox, bat, dog, human exp, cattle

Rabies -- United States
A trip to a theme park now has 2 guests having to undergo [preventative] treatment for rabies.
The Hampton-Peninsula Health District has alerted guests a rabid fox attacked 2 people at Busch Gardens, Williamsburg [Virginia], WTKR reported.
A boy was bitten on 5 Jul 2021 by the fox and had to have 4 injections of rabies treatment. [Post Exposure Prophylaxis or PEP - Mod.TG] WTKR reported. He is OK.
A man was also exposed to the fox. The fox was captured and died shortly after, WAVY

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PRO/EDR> Food poisoning - Nigeria: (KW) deaths, susp cassava cyanide contamination

Poisoning -- Nigeria
Another tragedy struck in the Ilorin East Local Government Area of Kwara State on [Tue 13 Jul 2021] as 3 members of the same family died of suspected food poisoning.
It was gathered on [Wed 14 Jul 2021] the victims were from one of the communities in the Ilorin East Local Government Area of the state. According to information, the incident involved 5 siblings of the same parents after consuming a locally prepared yam flour meal (Amala).
They were reportedly rushed to a hospital on

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PRO/EDR> Cholera, diarrhea & dysentery update (22): Africa (Nigeria), Asia (India)

Cholera -- Nigeria
The Enugu State Ministry of Health has confirmed that there is a cholera outbreak in New Artisan Market, Enugu, which resulted in the death of 7 people, while 19 ill persons are identified with the symptoms of loose stool and vomiting.
Confirming the cholera outbreak in the market, the State Commissioner for Health, Dr. Emmanuel Ikechukwu Obi, disclosed that the Ministry's rapid response team, upon receiving reports of the incident carried out an immediate investigation and "it was observed

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PRO/AH/EDR> Ehrlichiosis - Australia (03): (NT) ticks, dog

Pests -- Australia
Key points:
Ehrlichiosis was 1st detected in Australia last year in May [2020]
Experts say the disease is now "endemic" across the Northern Territory
They say preventing ticks is the best way to protect dogs
Patricia Powell's Staffordshire-cross, Leo, came close to death earlier this year -- and it isn't out of the woods yet. The 2-year-old dog became lethargic, thin and listless, deteriorating to the point that it was admitted to a pet hospital for a week for a blood transfusion. "I was

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PRO/AH/EDR> African swine fever - Asia (18): India (AS) domestic, spread

African Swine Fever -- India
Nearly 39 000 pigs have died of African swine fever (ASF) in Assam in the last 1.5 years, the Assembly was informed on Wednesday [14 Jul 2021]. In a written reply to a query by BJP MLA Chakradhar Gogoi, Animal Husbandry and Veterinary Minister Atul Bora said 38 700 pigs died due to ASF since its detection in the northeastern state in 2020.
As many as 13 200 families have been economically affected as a result of the pig deaths, the minister said. However, the government has not paid any

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PRO/AH/EDR> Foot rot - Australia: (NS) sheep

Other Animal Disease -- Australia
Increasing footrot infections in some New South Wales (NSW) sheep areas have led to the formation of a new producer-led steering committee to help develop a plan to fight the spread. NSW Department of Primary Industries (DPI) today [12 Jul 2021] announced the new NSW Footrot Steering Committee (FSC) will provide ongoing oversight and strategic direction to the NSW Footrot Management Program.
Incoming chair of the NSW Footrot Steering Committee, Derek Schoen, said the aim is to improve the

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PRO/AH/EDR> Monkeypox - USA: (TX) ex Nigeria

Monkeypox -- United States
The Centers for Disease Control and Prevention (CDC) and the Texas Department of State Health Services confirmed on 15 Jul [2021] a case of human monkeypox in a US resident who recently traveled from Nigeria to the United States. The person is currently hospitalized in Dallas. CDC is working with the airline and state and local health officials to contact airline passengers and others who may have been in contact with the patient during 2 flights: Lagos, Nigeria to Atlanta on 8 Jul [2021],

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Friday 16 July 2021

PRO/AH/EDR> COVID-19 update (243): Olympics, Africa, MIS-C possible causes, WHO, global

COVID-19 -- Worldwide/Unknown
WHO region (no. countries/territories):
Total confirmed cases (new cases in last 24 hours) / Total deaths (new deaths in last 24 hours)
--------------------------------------------------------------------------------
Western Pacific Region (19): 3 875 342 (26 044) / 58 726 (338)
European Region (61): 57 472 767 (130 355) / 1 200 672 (1068)
South East Asia Region (10): 36 400 628 (126 002) / 520 095 (2086)
Eastern Mediterranean Region (22): 11 644 006 (56 411) / 224 702 (582)
Region of

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PRO/AH/EDR> Anthrax - USA: (TX) cervid

Anthrax -- United States
Texas Animal Health Commission (TAHC) officials received confirmation of anthrax in a captive white-tailed deer herd on a Val Verde County premises on Sun 11 Jul 2021. This is the first anthrax case in Texas this year.
The premises is located in the south central portion of the county, north of Comstock, and has been quarantined. TAHC rules require proper disposal of affected carcasses on the premises prior to release of the quarantine.
"The TAHC will continue to closely monitor the

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PRO/AH/EDR> E. coli EHEC - USA (12): O121, CDC

E. coli -- United States
The CDC is working with other public health agencies to investigate an 11-state outbreak of _E. coli_ O121 infections. As of 15 Jul 2021, a total of 15 patients had been confirmed with infections, a CDC spokesperson told Food Safety News. No other information from the agency was available for release.
The Food and Drug Administration reported on 14 Jul 2021 that it was investigating an _E. coli_ O121 outbreak involving 15 patients, but the agency did not release any other details except to

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PRO/AH/EDR> Salmonellosis, st. Typhimurium - USA (04): prepackaged salad, alert, recall

Salmonella -- United States
Fast Facts
Illnesses: 8
Hospitalizations: 0
Deaths: 0
States: 2
Recall: No
Investigation status: Active
The CDC, public health and regulatory officials in several states, and the FDA are collecting different types of data to investigate a multistate outbreak of _Salmonella_ Typhimurium infections. Epidemiologic and traceback data show that BrightFarms brand Sunny Crunch salad may be contaminated with _Salmonella_ and may be making people sick.
As of 14 Jul 2021, 8 people infected

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PRO/AH/EDR> Avian influenza, human (12): China (SC) H5N6

Avian Influenza H5N6 -- China
Just over 7 years ago (May 2014) we saw a report from Sichuan, China of the first known infection by HPAI [highly pathogenic avian influenza] H5N6 avian influenza in humans. At the time, H5N1 and (LPAI) [low pathogenic avian influenza] H7N9 were the biggest avian flu threats, with H10N8 and H9N2 (which is still very much with us) pulling up the rear.
While H5N1 has declined markedly since 2015, and China's massive poultry vaccination program, which began in 2017 has -- at least temporarily

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PRO/AH/EDR> Anthrax - India (04): (OR) human, livestock, control study

Anthrax -- India
Bhubaneswar's Regional Medical Research Centre has started a study across 14 blocks in Odisha's Koraput for coordinated interventions to check animal-to-human transmission of anthrax. The study is likely to be completed by end of next year [2022]. It will test the effectiveness of public health interventions to check the disease transmission in Koraput, the epicentre of anthrax in Odisha. Of the 30 districts of Odisha, 19 are reported as endemic for human anthrax. In all 19 districts, anthrax

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PRO/AH/EDR> Streptococcus equi - Europe: (Belgium) meningitis, horse exposure, ex Myanmar

Meningitis -- Belgium
Abstract
--------
"Invasive infection with Lancefield group C streptococci in humans is extremely rare, with the vast majority of clinical isolates belonging to _Streptococcus dysgalactiae_ subsp. _equisimilis_. We report a case of meningoencephalitis in a 69-year-old man caused by _Streptococcus equi_ subsp. _equi_, a microbe that causes strangles in _Equus caballus_ (i.e., the horse). This is only the 4th infection with this subtype of the central nervous system (CNS) reported in humans.

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PRO/AH/EDR> Sheep pox & goat pox - Russia (03): (KT) sheep, OIE

Sheep/Goat Pox -- Russia
Summary
Report type: Immediate notification
Started: 4 Jul 2021
Confirmed: 11 Jul 2021
Reported: 14 Jul 2021
Reason for notification: Recurrence
Last occurrence: 16 Jun 2021
Causal agent: Sheep pox virus and goat pox virus
Nature of diagnosis: Clinical, laboratory
This event pertains to a defined zone within the country.
New outbreaks
Summary of outbreaks
Total outbreaks (2)
Outbreak location 1: Sophino, Nerekhskiy rayon, Kostroma
Started: 5 Jul 2021
Epidemiological unit:

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PRO/AH/EDR> African swine fever - Europe (15): Germany (BB) 1st report in domestic pig

African Swine Fever -- Germany
For the 1st time, African swine fever (ASF) was found in domestic pig populations nationwide. These are holdings in the Brandenburg districts of Spree-Neisse and Märkisch Oderland. The state of Brandenburg announced this in a press release late on Thursday evening (15 Jul 2021).
The 2 animal holdings affected were closed by the responsible veterinary authorities and the necessary measures were initiated. The virus was initially detected by the Berlin-Brandenburg state laboratory. On

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PRO/PL> Black sigatoka, banana: new strains, DMI fungicide resistance

Other Plant Disease -- Worldwide/Unknown
The fungus _Pseudocercospora fijiensis_ causes black sigatoka [BS] of banana, which is the most damaging leaf disease of bananas worldwide. An analysis of 592 isolates from 7 banana-producing countries on 3 continents shows how _P. fijiensis_ is evolving to insensitivity to azole fungicides due to the heavy use of pesticides. The results underscore the need to develop alternative disease control methods and new banana varieties. Cavendish bananas represent more than 50% of the global

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PRO/AH/EDR> Adenovirus hemorrhagic disease - USA: (CA) deer

Adenovirus -- United States
The California Department of Fish and Wildlife (CDFW) has confirmed outbreaks of adenovirus hemorrhagic disease in deer in several northern California counties and is asking California residents to help curb the spread by not feeding wild animals, and reporting potential cases to the department.
"Providing attractants for deer -- food, salt licks, or even water - is against the law for good reason," said Dr Brandon Munk, senior wildlife veterinarian with CDFW's Wildlife Investigations

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PRO/EDR> Foodborne illness - India (07): (KA) fatal, finger millet susp, RFI

Foodborne Illness -- India
Four persons of a family died while doctors are trying to save one person, following suspected food poisoning at Isamudra village near Bharamasagar in Chitradurga taluk [Karnataka]. The deceased are [TN, 45, his wife SN, 40, his mother Gi, and daughter Ra, 16. The son Rl, 21], is undergoing treatment in Davanagere.
They had ragi mudde (finger millet balls), rice, and sambar [lentil and vegetable stew] for dinner on 12 Jul 2021. Within half an hour, they had erratic bowel movements, forcing

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Thursday 15 July 2021

PRO/EDR> COVID-19 update (242): inc. cases and deaths, hosp resources, infec. rates, WHO

COVID-19 -- Worldwide/Unknown
WHO region (no. countries/territories):
Total confirmed cases (new cases in last 24 hours) / Total deaths (new deaths in last 24 hours)
--------------------------------------------------------------------------------
Western Pacific Region (19): 3 849 298 (24 361) / 58 388 (270)
European Region (61): 57 327 765 (113 098) / 1 199 601 (1093)
South East Asia Region (10): 36 196 974 (48 163) / 516 608 (711)
Eastern Mediterranean Region (22): 11 587 414 (54 206) / 224 106 (564)
Region of the

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PRO/AH/EDR> Rabbit hemorrhagic disease - USA (09): (WY) domestic, wild rabbits

-- United States
Rabbit Disease Identified in Wyoming
More than 80 wild and domestic rabbits across 9 Wyoming counties have died as a result of a highly contagious and lethal rabbit hemorrhagic disease called RHDV2.
While wildlife officials continue to track the disease, it is not considered an epidemic yet, according to Sara DiRienzo, a public information officer for the Wyoming Game and Fish Department.
Department officials tracked Wyoming's rabbit population as the disease surfaced in 10 other

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PRO/EDR> Poliomyelitis update (15): global (cVDPV2), Nigeria

Polio -- Nigeria
New wild poliovirus isolates reported this week:
AFP cases: 0
Environment: 0
Others: 0

New cVDPV isolates reported this week:
AFP cases: 4
Environment: 6
Others: 10
Summary of new WPV and cVDPV this week (AFP cases and ES positives):
- Nigeria: 1 cVDPV2 case and 2 cVDPV2 positive environmental samples
- Senegal: 2 cVDPV2 cases and 2 cVDPV2 positive environmental samples
- Sierra Leone: 1 cVDPV2 positive environmental sample
- Somalia: 1 cVDPV2 positive environmental sample
-

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PRO/AH/EDR> Salmonellosis, st Typhimurium - USA (03): FDA

Salmonella -- United States
The following is from a list of outbreak investigations being managed by FDA's CORE Response Teams. The investigations are in a variety of stages, meaning that some outbreaks have limited information, and others may be near completion.
A public health advisory will be issued for outbreak investigations that have resulted in specific, actionable steps for consumers to take to protect themselves. Please direct your attention to those pages for the most up to date information on the

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PRO/EDR> Cholera, diarrhea & dysentery update (21): Africa (Nigeria), Asia (India)

Cholera -- Nigeria
"Background: There are an estimated 1.3-4.0 million cases of cholera and 20 000-140 000 cholera-related deaths worldwide each year. The rice-based cholera toxin B subunit (CTB) vaccine [manufactured as a powder from the transgenic rice - Mod.LL], MucoRice-CTB, is an oral candidate vaccine that does not require a cold chain, has shown efficacy in animal models, and could be of benefit in places where there is a paucity of medical infrastructure. We aim to assess the safety, tolerability, and

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PRO/AH/EDR> E. coli EHEC - USA (11): O121, FDA

E. coli -- United States
1. Schmidt H, Geitz C, Tarr PI, et al. Non-O157:H7 pathogenic Shiga-toxin producing _Escherichia coli_: phenotypic and genetic profiling of virulence traits and evidence for clonality. J Infect Dis 1999; 179(1): 115-23; available at
2. Bettelheim KA. Role of non-O157 VTEC. Symp Ser Soc Appl Microbiol 2000; (29): 38S-50S; abstract available at
3. McCarthy TA, Barrett NL, Hadler JL, et al: Hemolytic-uremic syndrome and _Escherichia coli_ O121 at a lake in Connecticut, 1999. Pediatrics 2001;

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PRO/EDR> Meningitis, meningococcal - UK: (England) decreased incid., 1st 3m, 2021 vs 2020

Meningitis - Neisseria -- United Kingdom
Antimicrobial overuse, human (12): USA (WI) outpt. AB, RTI/resp. virus detections

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PRO/AH/EDR> Lumpy skin disease - Asia (12): Laos, cattle, control, corr

Lumpy Skin Disease -- Laos
The Lao government has extended the ban on the import of cattle and other beef products due to an outbreak of lumpy skin disease [LSD], which is continuing to spread in various areas of the country.
According to the local daily Vientiane Times on Tuesday [13 Jul 2021], measures have been introduced to monitor and control the spread of the disease and address the shortage of beef and buffalo meat so there is enough to meet the needs of consumers.
The Department of Livestock and Fisheries

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PRO/PL> Sooty mould, mango - Egypt: (IS)

Other Plant Disease -- Egypt
A disease called "black soot" struck the crops of mangoes. A member of the House of Representatives said that there were many complaints from mango growers about the threat of the disease. This year [2021], the disease [poses a danger]. The mango crop, especially in Ismailia governorate, suffered losses of 80% in the production of mangoes. The flowering rate of mango [trees] reached 0% in some gardens.
The representative emphasized that the mango crop has been suffering for nearly 3 years

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PRO/AH/EDR> Tick-borne encephalitis & Lyme disease - Latvia

Lyme Disease -- Latvia
Each 5th tick, which has been investigated in the laboratory of the Latvian Infectology Centre, contains _Borrelia_ or the initiator of Lyme disease, Latvian Television reported [14 Jul 2021]. Only 2% of the ticks tested were infected with tick encephalitis [virus]. It doesn't mean that everyone who gets these ticks inevitably gets sick. But medics remind the public to be careful outdoors and take suitable precautions when in areas potentially containing ticks.
727 ticks have been removed

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PRO/EDR> Norovirus - New Zealand: (North Island) hospital outbreak

Norovirus -- New Zealand
An outbreak of [an intestinal infection due to] norovirus at Palmerston North Hospital has prompted tight controls on movements in and out of ward 24. MidCentral District Health Board chief medical officer Kelvin Billinghurst said the virus had spread rapidly in the ward, but at this stage, it appeared to be contained.
There were 4 suspected cases and one confirmed case in the general ward. A total of 14 staff members were unwell with possible symptoms. The ward stopped admitting new

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Wednesday 14 July 2021

PRO/AH/EDR> Lumpy skin disease - Asia (12): Laos, control

Lumpy Skin Disease -- Laos
The Lao government has extended the ban on the import of cattle and other beef products due to an outbreak of lumpy skin disease [LSD], which is continuing to spread in various areas of the country.
According to local daily Vientiane Times on Tuesday [13 Jul 2021], measures have been introduced to monitor and control the spread of the disease and address the shortage of beef and buffalo meat so there is enough to meet the needs of consumers.
The Department of Livestock and Fisheries

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PRO/AH/EDR> Anthrax - Kazakhstan: (QS) cattle, human

Anthrax -- Kazakhstan
Three people contracted anthrax in the Kostanay [Qostanay] region. They are now in the hospital. The disease was first detected in cattle in one of the livestock farms in the village of Prirechnoye, Denisovskiy district.
More than 10 heads have already died, and quarantine has been imposed (on the area). Veterinarians have hygienically disposed the corpses of the dead animals. Also, the places where cattle were kept and died were disinfected. Vaccination against anthrax was urgently

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PRO/AH/EDR> Salmonellosis - Europe: multiple serotypes, imported sesame seed products

Salmonella -- Worldwide/Unknown
Five European countries have reported _Salmonella_ infections with at least some of them linked to tahini and halva from Syria. Up to 80 people may have been affected since 2019 in Germany, Sweden, Norway, Denmark, and the Netherlands with several types of _Salmonella_ being linked to the outbreak.
Based on epidemiological information and whole-genome sequencing (WGS) analyses, experts from the Robert Koch Institut (RKI) in Germany told Food Safety News that they consider cases with the

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